Welcome! I am a self-trained chef with two decades of diabetic friendly cooking to my name. This blog has over 325 proven recipes and zero advertising. For me it's about helping fellow diabetics eat well... Period. Blessed be... and happy cooking!

Saturday, May 16, 2026

Weekend Ramble: Science-Backed Benefits of Chickpeas

Among the many legumes available to us, chickpeas rank among my favorites. I found this article on Healthline and am happy to share the ten benefits of chickpeas with you in this Weekend Ramble. Enjoy!

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Chickpeas are affordable, versatile, and highly nutritious. They may aid weight management, protect against chronic disease, and promote several other aspects of health.

Medically reviewed by Sade Meeks, MS, RD, Nutrition — By Brianna Elliott, RD and Rachael Ajmera, MS, RD — Updated on February 23, 2023

Chickpeas, also known as garbanzo beans, have been grown and eaten in Middle Eastern countries for thousands of years.

Their nutty taste and grainy texture pair well with many other foods and ingredients.

As a rich source of vitamins, minerals, and fiber, chickpeas may offer a variety of health benefits, such as aiding weight management, improving digestion, and reducing your risk of disease.

Additionally, this legume is high in protein and makes an excellent replacement for meat in many vegetarian and vegan dishes.

Here are 10 evidence-based health benefits of chickpeas — plus some simple recipe ideas.


1. Packed with nutrients

Chickpeas boast an impressive nutritional profile.

They contain a moderate number of calories, providing 269 per cup (164 grams). Approximately 67% of these calories come from carbs, while the rest comes from protein and fat.

Chickpeas also provide a variety of vitamins and minerals, as well as a decent amount of fiber and protein. A 1-cup (164-gram) serving of cooked chickpeas offers:

  • Calories: 269
  • Protein: 14.5 grams
  • Fat: 4 grams
  • Carbs: 45 grams
  • Fiber: 12.5 grams
  • Manganese: 74% of the Daily Value (DV)
  • Folate (vitamin B9): 71% of the DV
  • Copper: 64% of the DV
  • Iron: 26% of the DV
  • Zinc: 23% of the DV
  • Phosphorus: 22% of the DV
  • Magnesium: 19% of the DV
  • Thiamine: 16% of the DV
  • Vitamin B6: 13% of the DV
  • Selenium: 11% of the DV
  • Potassium: 10% of the DV

As you can see, this legume is a particularly good source of the mineral manganese and the B vitamin folate.

SUMMARY

Chickpeas contain a moderate amount of calories and several vitamins and minerals. They’re also a good source of fiber and protein.


2. May keep you feeling full

The protein and fiber in chickpeas may help keep your appetite under control.

Protein and fiber work together to slow digestion, which helps promote fullness. In addition, protein may increase levels of appetite-reducing hormones in your body.

In fact, the filling effects of the protein and fiber in chickpeas may automatically lower your calorie intake.

One study compared appetite and calorie intake among 12 women who ate two separate meals.

Before one of the meals, they ate 1.25 cups (200 grams) of chickpeas, then 2 slices of white bread before the other meal. They experienced a significant reduction in appetite and calorie intake after the chickpea meal, compared with the white bread meal.

Another small study found that those who ate pretzels and chickpea-based hummus for an afternoon snack experienced a 70% reduction in appetite and a 30% increase in fullness.

All the same, more research is needed on chickpeas and appetite control.

SUMMARY

Chickpeas are high in protein and fiber, which may keep you feeling full and reduce your calorie intake at meals.


3. Rich in plant protein

Chickpeas are a great source of plant-based protein, making them an excellent food for people who don’t eat meat or animal products.

A 1-cup (164-gram) serving provides about 14.5 grams of protein, which is comparable to the protein content of similar foods like black beans and lentils.

The protein in chickpeas may help promote fullness and keep your appetite under control. Protein is also known for its role in weight management, bone health, and muscle strength.

Some studies have suggested that the quality of the protein in chickpeas is better than that of other types of legumes. That’s because chickpeas contain all of the essential amino acids except methionine.

For this reason, they’re an incomplete source of protein. To make sure you get all the amino acids in your diet, it’s important to pair chickpeas with a whole grain that contains methionine, such as quinoa.

SUMMARY

Chickpeas are an excellent source of protein, which may aid weight management and boost bone health. This legume is a great choice for people who don’t eat animal products.


4. May help you manage your weight

Chickpeas may aid weight management due to their filling effects.

The protein and fiber in chickpeas may reduce your appetite, which may then lower your calorie intake at meals.

In one study, those who ate chickpeas regularly were 53% less likely to have a body mass index (BMI) over 30 and more likely to have a lower waist circumference than those who didn’t eat chickpeas.

While BMI remains a common health metric, keep in mind that it’s limited in its effectiveness.

Nonetheless, another review found that those who ate at least 1 daily serving of legumes, such as chickpeas, lost 25% more weight than those who didn’t eat legumes.

Although these findings are promising, more human studies are needed.

SUMMARY

Chickpeas’ fiber and protein content, plus their relatively low calorie density, may help you maintain a healthy weight.


5. May support blood sugar regulation

Chickpeas may help manage your blood sugar levels in several ways.

First, they have a fairly low glycemic index (GI), which is a marker of how rapidly your blood sugar rises after eating a food. Diets that include many low GI foods have been shown to promote blood sugar management.

Additionally, chickpeas’ fiber and protein may help regulate blood sugar levels.

That’s because fiber slows carb absorption to promote a steady rise in blood sugar levels rather than a spike. Eating protein-rich foods may also help maintain healthy blood sugar levels.

In one small study, eating 1.25 cups (200 grams) of chickpeas suppressed post-meal increases in blood sugar levels by up to 36%, compared with eating 2 slices of white bread.

An older, 12-week study found that 45 people who ate four 10.5-ounce (300-gram) cans of chickpeas per week had a notable reduction in fasting insulin levels, which is an important factor in blood sugar regulation.

What’s more, several studies associate chickpea intake with a reduced risk of several diseases, including diabetes and heart disease. These effects are often attributed to their capacity to lower blood sugar levels.

SUMMARY

Chickpeas have a low GI and are a great source of fiber and protein — all properties that support healthy blood sugar management.


6. May benefit digestion

Chickpeas are full of fiber, which offers several benefits for digestive health.

The fiber in chickpeas is mostly soluble, meaning that it blends with water to form a gel-like substance in your digestive tract.

Soluble fiber may help increase the number of healthy bacteria in your gut and prevent the overgrowth of unhealthy bacteria. This may lead to reduced risk of some digestive conditions, such as irritable bowel syndrome (IBS) and colon cancer.

According to one review, chickpeas may also help support digestive health by improving the frequency, ease, and consistency of bowel movements.

SUMMARY

Chickpeas are high in fiber, which benefits your digestion by supporting bowel movements and increasing the number of healthy bacteria in your gut.


7. May protect against certain chronic diseases

Chickpeas may help reduce your risk of several chronic illnesses.

Heart disease

Chickpeas are a great source of several minerals, such as magnesium and potassium, which may support heart health by helping prevent high blood pressure — a major risk factor for heart disease.

Additionally, the soluble fiber in chickpeas has been shown to reduce triglycerides and LDL (bad) cholesterol, elevated levels of which may increase heart disease risk.

According to a review of 26 studies, eating at least 1 serving per day of legumes, including chickpeas, may help significantly lower LDL (bad) cholesterol.

Cancer

Some research suggests that eating chickpeas regularly may help reduce your risk of certain types of cancer.

That’s because this legume may promote your body’s production of butyrate, a fatty acid that may reduce inflammation in colon cells, possibly decreasing your risk of colon cancer.

Furthermore, chickpeas contain saponins, which are plant compounds that may help prevent the development of certain cancers. Saponins have also been studied for their role in inhibiting tumor growth.

Chickpeas also provide several vitamins and minerals that may lower your cancer risk, including B vitamins, which may be associated with a lower risk of breast and lung cancers.

Type 2 diabetes

Chickpeas may help prevent and manage diabetes due to their blood-sugar-regulating effects.

The fiber and protein in chickpeas help stop your blood sugar levels from rising too quickly after eating, which is an important factor in diabetes management.

Additionally, their low glycemic index (GI) makes them appropriate for those with diabetes, as they’re unlikely to lead to blood sugar spikes.

Finally, they’re a source of several nutrients that have been found to reduce your risk of type 2 diabetes, including magnesium and B vitamins. Their zinc content may also help manage this condition.

SUMMARY

Chickpeas may help prevent some chronic illnesses, including heart disease, cancer, and type 2 diabetes.


8. May promote brain health

Thanks to their impressive nutrient profile, chickpeas may support brain function and mental health.

This is partly because they’re a great source of choline, which plays an important role in brain function.

In particular, this essential nutrient is required for the production of specific neurotransmitters, which act as chemical messengers for your body’s nerve cells. However, while choline is vital for infants, its role in adult health isn’t well researched.

Chickpeas also contain a hearty dose of magnesium, a key mineral for nerve function.

What’s more, research shows that several nutrients found in these legumes, including magnesium, selenium, and zinc, may help protect against depression and anxiety.

Still, further human studies are necessary.

SUMMARY

Chickpeas are rich in several nutrients that may support brain health, including choline, magnesium, selenium, and zinc.


9. May help prevent iron deficiency

Chickpeas are an excellent source of iron, packing approximately 26% of the DV into 1 cup (164 grams).

Iron is involved in red blood cell production, as well as physical growth, brain development, muscle metabolism, and other aspects of health.

If you’re not getting enough of this key micronutrient, your body’s ability to produce healthy red blood cells may be impaired. In turn, this may lead to iron deficiency, a condition characterized by symptoms like weakness, fatigue, and shortness of breath.

As such, chickpeas are a great option for people who may be at a high risk of iron deficiency, such as vegans and vegetarians.

Chickpeas also contain some vitamin C, which may help boost your body’s iron absorption.

SUMMARY

Chickpeas are a good source of iron and may help safeguard against iron deficiency.


10. Inexpensive and easy to add to your diet

Chickpeas are incredibly easy to add to your diet.

They’re affordable and widely available in both canned and dry varieties. Due to their high protein content, they’re an excellent substitute for meat on vegetarian and vegan diets.

Plus, chickpeas are versatile and can be added to a variety of dishes, such as salads, soups, or sandwiches.

They’re also a main ingredient in hummus, which is a dip made from mashed chickpeas, tahini, olive oil, lemon juice, salt, and garlic.

Finally, you can roast chickpeas for a delicious and crunchy snack, or incorporate them into veggie burgers and tacos.

SUMMARY

Chickpeas are cheap and taste great in numerous dishes. They’re the main ingredient in hummus and make a great meat substitute due to their protein content.


The bottom line

Chickpeas aren’t just an essential ingredient in hummus or a delectable ingredient in chili.

They’re also very healthy, boasting vitamins, minerals, fiber, and protein. These characteristics may support weight management, blood sugar regulation, and brain health while reducing your risk of chronic ailments like heart disease and cancer.

To get started with chickpeas, try roasting them as a snack or adding them to a salad.

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Quite an amazing food, these chickpeas... :-) You may have seen this recipe already, but just in case... here's a link to my Ceci Chorizo that is based around our beloved chickpeas!

Have a great week, everyone, and thank you for your support!

Blessed be… and happy cooking!

                                                            Chef Michael R

Friday, May 15, 2026

Garlic Roasted Cauliflower with Lemon & Tahini

Full credit for this tasty side goes to Lea Stark. 

Getting tired of the same old side dishes? Take a few extra minutes for dinner prep and treat your family & friends to this Next Level beauty. :-) Enjoy!

Ingredients:

  • 1 medium head of cauliflower, cut into florets
  • 3 tbsp extra virgin olive oil
  • 3 cloves garlic - minced
  • 1 tsp ground cumin
  • 1/2 tsp smoked paprika (or sweet paprika)
  • Zest of 1 lemon
  • Salt and black pepper to taste
  • 1 tbsp lemon juice (after roasting)
  • 1 tbsp fresh chopped parsley

Optional toppings:

  • 1-2 tbsp tahini (drizzled)
  • Crumbled feta or shaved Parmesan
  • Toasted pine nuts or sesame seeds

Preparation:

Preheat oven to 425°F (220°C). Line a baking sheet with parchment paper.

In a bowl, toss cauliflower florets with olive oil, garlic, cumin, paprika, lemon zest, salt, and pepper until evenly coated.
Spread cauliflower on the baking sheet in a single layer. Roast for 25–30 minutes, flipping halfway, until golden brown and crisp at the edges.

Remove from the oven, squeeze fresh lemon juice on top, and sprinkle with chopped parsley. 

Drizzle with tahini or top with feta and pine nuts for extra Mediterranean flair.

Blessed be... and happy cooking!

Thursday, May 14, 2026

Garlic Chicken with Broccoli & Spinach

 Full credit for this recipe goes to Natalie Torres.

Simple can be good..... Combining a saute with not one, but two green vegetables along with a solid amount of garlic allows for a very different flavor profile. Enjoy!

Ingredients:

For the Chicken:

  • 1.5 lbs boneless skinless chicken breasts, cut into bite-sized pieces
  • Salt and black pepper, to taste
  • 1 tsp garlic powder
  • 1 tbsp olive oil or butter

For the Veggies & Sauce:

  • 4 cloves garlic, minced
  • 1 tbsp olive oil or butter
  • 2 cups fresh broccoli florets
  • 3 cups fresh spinach
  • ¼ cup chicken stock
  • ¼ cup grated Parmesan cheese (optional)
  • Juice of ½ lemon
  • Crushed Aleppo pepper - optional for heat

Preparation:

Season chicken pieces with salt, pepper, and garlic powder. In a large skillet, heat 1 tbsp oil or butter over medium-high heat. Add chicken and sauté until golden and fully cooked (about 6–8 minutes). Remove and set aside.

In the same skillet, add another tablespoon of oil or butter. Add minced garlic and cook for 30 seconds until fragrant. Toss in the broccoli and stir for 2 minutes.

Add the chicken stock to the skillet, cover with a lid, and let the broccoli steam for about 3–4 minutes until tender-crisp.

Remove the lid, stir in spinach, and cook for 1–2 minutes until wilted. Return cooked chicken to the pan, and toss everything together.

Finish the Dish:

Sprinkle in Parmesan if using, and squeeze fresh lemon juice over the top. Season to taste with additional salt & pepper if needed.

Serve stand-alone or over pearl barley cooked in chicken stock.

Blessed be... and happy cooking!

Wednesday, May 13, 2026

Chicken Stir Fry by Wendy Gilbert

Full credit for this lovely dish goes to Wendy Gilbert.

A fresh and wholesome stir-fry with juicy chicken, vibrant vegetables, and aromatic herbs — all cooked in heart-healthy olive oil. Enjoy!

Ingredients:

  • 2 tbsp extra virgin olive oil
  • 2 cups broccoli florets
  • 1 red bell pepper, thinly sliced
  • 1 medium zucchini, sliced into half-moons (optional)
  • 1 small red onion, thinly sliced
  • 2 garlic cloves, minced
  • 1 lb (450 g) boneless, skinless chicken breast or thighs, thinly sliced
  • 1 tsp dried oregano
  • 1/2 tsp ground cumin
  • Salt & black pepper to taste
  • Juice of 1/2 lemon
  • 1 tbsp chopped fresh parsley or basil (for garnish)
  • Optional: crumbled feta or olives for topping

Preparation:

Heat 1 tbsp olive oil in a large skillet over medium-high heat. Add sliced chicken, season with salt, pepper, oregano, and cumin. Cook for 5–6 minutes until golden and fully cooked. Remove from the pan and set aside.

In the same pan, add the remaining 1 tbsp olive oil. Add garlic, onion, broccoli, red pepper, and zucchini (if using). Sauté for 5–6 minutes until vegetables are tender-crisp.

Return cooked chicken to the skillet. Toss everything together and cook for another 1–2 minutes to heat through. Squeeze in fresh lemon juice for brightness.

Top with chopped parsley or basil. Optional: sprinkle with crumbled feta or a few sliced olives for added Mediterranean flair.

Blessed be… and happy cooking!

Tuesday, May 12, 2026

Stir-fried Bok Choy with Pork or Turkey

  Full credit for this lovely dish goes to Diane Roberts.

Bok Choy is a wonderfully versatile vegetable, paired here with lean pork or turkey... ready to delight you with a subtle Asian flavor palette. Enjoy!

Ingredients:

  • 1 lb lean ground pork or turkey
  • 1 tbsp olive oil
  • 2 cloves garlic - minced
  • 1 inch ginger - minced
  • 1 tbsp low-sodium soy sauce
  • 1/2 tbsp oyster sauce (or low-sugar hoisin)
  • 1/2 tbsp rice vinegar or lemon juice (optional)
  • 1 tsp erythritol or monk fruit sweetener (optional)
  • 1/2 tsp black pepper
  • 1 head Bok Choy - chopped
  • 1 tsp sesame oil (optional)

Preparation:

Heat oil in a skillet or wok over medium-high heat. Add ground meat and cook until browned.

Add garlic and ginger. Stir-fry for 1 minute.

Add soy sauce, oyster sauce, vinegar (if using), sweetener, and pepper. Cook for 1 minute.

Toss in chopped Bok Choy. Stir-fry 2-3 minutes until wilted but crisp.

Finish with sesame oil (optional) and serve hot.

Blessed be… and happy cooking!

Monday, May 11, 2026

Savory Cabbage Beef Cake

 Full credit for this lovely dish goes to Elima Linda.

Beef, cabbage, tomatoes, onions... 

A truly delightful combination all baked into savory goodness. Enjoy!

Ingredients:

  • 1 lb ground beef
  • 1 small onion - chopped
  • 1 small cabbage - shredded
  • 1 can (14.5 oz) diced tomatoes with juice
  • 1 cup cooked rice - for more diabetic friendly use pearl barley
  • 1 tbsp Worcestershire sauce
  • 1 tsp garlic powder
  • 1 tsp paprika
  • Salt and pepper to taste

Preparation:

Preheat your oven to 350°F (175°C).

In a large skillet over medium heat, cook the ground beef and chopped onion until the beef is browned and onion is soft, about 6–8 minutes.

Stir in the shredded cabbage, diced tomatoes with their juice, cooked rice or barley, Worcestershire sauce, garlic powder, paprika, salt, and pepper. Mix well and let simmer for 5 minutes.

Pour the mixture into a baking dish and cover it with aluminum foil.

Bake in the preheated oven for 30–35 minutes, or until the cabbage is tender.

Let the dish rest for a few minutes before serving to allow flavors to settle.

Blessed be... and happy cooking!

Sunday, May 10, 2026

Venison with Brussels Sprouts & Beans

I enjoy creating Earthy dishes with my venison. I process my venison the entire way from field to table so I know it is as fresh and pure as can be, allowing for Next Level flavors right from the start.

In this dish I experimented combining venison with a green vegetable, a legume and yellow onions. Brussels sprouts and black beans ended up being the winning combination, along with onions and some Montreal Steak seasoning. Enjoy!


Ingredients:

  • 3/4 lb ground venison 
  • 10 Brussels sprouts - halved after cooking
  • 1 yellow onion - cut up 
  • 15 oz can black beans - drained & liquid reserved
  • 1/2 - 1 tsp Montreal Steak seasoning to your taste
  • olive oil
Preparation:

Boil the Brussels sprouts  and cut in half. If you want, sear the cut side briefly for extra flavor.

Fry the chop meat and onion until done. 


Add the drained black beans. Blend and season with Montreal Steak to your liking.

Finally add the cooked Brussels Sprouts and carefully fold into the mix. 


Add some reserved bean juice if needed for moisture. Enjoy!

Blessed be... and happy cooking!

Saturday, May 9, 2026

Weekend Ramble: An In-Depth Look at Type 2 Diabetes

 

I found this article on WebMD.com, and I have to say it's just about the best I've read anywhere. Included in this article are descriptions of the three different types of diabetes, which will hopefully put an end to much of the misconceptions being spread in various groups.

Type 2 Diabetes: Symptoms, Causes, Treatment

Written by WebMD Editorial Contributors

 Medically Reviewed by Poonam Sachdev on June 25, 2023

What Is Type 2 Diabetes?

Type 2 diabetes is a lifelong disease that keeps your body from using insulin the way it should.

People who are middle-aged or older are most likely to get this kind of diabetes. It used to be called adult-onset diabetes or diabetes mellitus. But type 2 diabetes also affects kids and teens, mainly because of childhood obesity.

Type 2 is the most common form of diabetes. About 1 in 10 people in the U.S. have type 2. Nearly 1 in 3 have prediabetes, meaning their blood sugar (or blood glucose) is high but not high enough to be diabetes yet.

Symptoms of Type 2 Diabetes

The symptoms of type 2 diabetes can be so mild that you don't notice them. About 9 million people have it and don't know it. Symptoms include:

  • Being very thirsty
  • Peeing a lot
  • Blurry vision
  • Tingling or numbness in your hands or feet
  • Fatigue/feeling worn out
  • Wounds that don't heal
  • Yeast infections that keep coming back
  • Feeling hungry
  • Weight loss without trying
  • Getting infections

If you have dark rashes around your neck or armpits, see your doctor. These are called acanthosis nigricans, and they can be signs that your body is becoming resistant to insulin.

Learn more about type 2 diabetes symptoms .

Types of Diabetes 

There are three main types of diabetes:

Type 2 diabetes

About 90%-95% of all people with diabetes have this type. With type 2, your pancreas makes some insulin -- the hormone that helps your cells turn glucose (a type of sugar) from the food you eat into energy. In some people, your cells don't respond to this hormone as they should (a condition called insulin resistance).

Type 1 diabetes

In type 1, your immune system attacks and destroys the cells in your pancreas that make insulin, leading to high blood sugar. Doctors aren't sure why this happens. Type 1 isn't related to weight or lifestyle habits. It used to be called insulin-dependent or childhood diabetes. 

Gestational diabetes

You only get this type of diabetes when you're pregnant. It happens because hormonal changes and weight gain during pregnancy can lead to insulin resistance. It usually goes away after you have your baby.

 

Causes of Type 2 Diabetes

Usually, a combination of things causes type 2 diabetes. They might include:

  • Genes. Scientists have found different bits of DNA that affect how your body makes insulin.
  • Weight. Having extra weight or obesity can cause insulin resistance.
  • Metabolic syndrome. People with insulin resistance often have a group of conditions including high blood sugar, high blood pressure, and high cholesterol and triglycerides.
  • Too much glucose from your liver. When your blood sugar is low, your liver makes and sends out glucose. After you eat, your blood sugar goes up, and your liver usually slows down and stores its glucose for later. But some people's livers don't. They keep making sugar.
  • Bad communication between cells. Sometimes, cells send the wrong signals or don't pick up messages correctly. When these problems affect how your cells make and use insulin or glucose, this can lead to diabetes.
  • Broken beta cells. If the cells that make insulin send it out at the wrong time, your blood sugar gets thrown off. High blood sugar can damage these cells, too.

Type 2 Diabetes Risk Factors

Certain things make it more likely that you’ll get type 2 diabetes. The more of these that apply to you, the higher your chances of getting it are. Some things are related to who you are:

  • Age. 45 or older
  • Family. A parent, sister, or brother with diabetes
  • Ethnicity. African American, Alaska Native, Native American, Asian American, Hispanic or Latino, or Pacific Islander American

Risk factors related to your medical history and health include:

  • Insulin resistance
  • Prediabetes
  • Heart and blood vessel disease
  • High blood pressure, even if it's treated and under control
  • Low HDL ("good") cholesterol
  • High triglycerides
  • Being overweight or having obesity
  • Having a baby who weighed more than 9 pounds
  • Gestational diabetes while you were pregnant
  • Polycystic ovary syndrome (PCOS)
  • Depression

Other things that raise your risk of diabetes have to do with your daily habits and lifestyle. These are the ones you can do something about:

Type 2 diabetes epidemiology

Some 462 million people worldwide, or about 6.3% of the population, have type 2 diabetes. It's the ninth leading cause of death, responsible for more than 1 million deaths each year. Cases of type 2 diabetes are increasing faster in developed countries like the U.S. and Western Europe.

Scientists say type 2 diabetes affects men and women at about the same rate.

It's more common in people in middle age and older, affecting:

  • 4.4% of those ages 15-49
  • 15% of those ages 50-69
  • 22% of those 70 and older 

It's also more common in people of color, including those whose heritage is:

  • Black
  • Hispanic
  • Native American
  • Asian 

Type 2 Diabetes Diagnosis and Tests

Your doctor can test your blood for signs of type 2 diabetes. Usually, they’ll test you on 2 different days to confirm the diagnosis. But if your blood glucose is very high or you have many symptoms, one test may be all you need.

Blood tests for type 2 diabetes include:

  • A1c. It's an average percent of your blood glucose over the past 2 or 3 months.
  • Fasting plasma glucose. This is also known as a fasting blood sugar test. It measures your blood sugar on an empty stomach. You won't be able to eat or drink anything except water for 8 hours before the test.
  • Oral glucose tolerance test (OGTT). This checks your blood glucose before and 2 hours after you drink something sweet to see how your body handles the sugar.

Learn more about how type 2 diabetes is diagnosed.
 

Stages of Type 2 Diabetes

Researchers have defined four stages of type 2 diabetes: 

Insulin resistance

In this stage, your body usually makes enough insulin to keep blood sugar levels in the normal range. But if your cells "resist" the insulin (don't use it correctly), your body will make more insulin to try to help the glucose get into them. Insulin resistance can be temporary, but it can also last. There's no test to detect insulin resistance, so it can be hard to diagnose.

Prediabetes

Eventually, insulin resistance causes glucose to build up in your blood. You have prediabetes when your blood sugar levels are higher than normal, but not high enough to be considered diabetes. An A1c between 5.7% and 6.4% means you have prediabetes. You may not have any symptoms. But prediabetes ups your risk for heart disease, stroke, and type 2 diabetes. 

Type 2 diabetes

If your A1c is 6.5% or higher, you have diabetes. You may have symptoms like increased thirst, blurred vision, and numbness in feet or hands. Or you may not have any symptoms at all. 

Type 2 diabetes with vascular complications

At this stage, your diabetes has led to vascular (blood vessel) problems. You may have damage to vessels in your eyes (retinopathy), kidneys (nephropathy), and certain nerves (neuropathy). You might also develop heart disease, stroke, or circulation issues.

Type 2 Diabetes Treatment

Managing type 2 diabetes includes a mix of lifestyle changes and medication.

Lifestyle changes

You may be able to reach your target blood sugar levels with diet and exercise alone.

  • Weight loss. Dropping extra pounds can help. While losing 5% of your body weight is good, losing at least 7% and keeping it off seems to be ideal. That means someone who weighs 180 pounds can change their blood sugar levels by losing around 13 pounds. Weight loss can seem overwhelming, but portion control and eating healthy foods are a good place to start.
  • Healthy eating. There’s no specific diet for type 2 diabetes. A registered dietitian can teach you about carbs and help you make a meal plan you can stick with. Focus on:
    • Eating fewer calories
    • Cutting back on refined carbs, especially sweets
    • Adding veggies and fruits to your diet
    • Getting more fiber
  • Exercise. Try to get 30 to 60 minutes of physical activity every day. You can walk, bike, swim, or do anything else that gets your heart rate up. Pair that with strength training, like yoga or weightlifting. If you take a medication that lowers your blood sugar, you might need a snack before a workout.
  • Watch your blood sugar levels. Depending on your treatment, especially if you’re on insulin, your doctor will tell you if you need to test your blood sugar levels and how often to do it.

Medication

If lifestyle changes don’t get you to your target blood sugar levels, you may need medication. Some of the most common for type 2 diabetes include:

Even if you change your lifestyle and take your medicine as directed, your blood sugar may still get worse over time. That doesn’t mean you’ve done something wrong. Diabetes is progressive, and many people eventually need more than one drug.

When you take more than one drug to control your type 2 diabetes, that’s called combination therapy. You and your doctor should work together to find the best mix for you. 

Some drugs control blood sugar spikes (your doctor may call this hyperglycemia) that come right after meals, for instance. Others are more effective at stopping drops in blood sugar (hypoglycemia) between meals. Some may help with weight loss or cholesterol, as well as your diabetes.

You and your doctor should talk about any possible side effects. Cost may be an issue as well.

If you take medication for something else, that will need to be factored into any decision.

You’ll need to see your doctor more often when you start taking a new combination of drugs.

You might find that adding a second drug doesn’t bring your blood sugar under control. Or the combination of two drugs might work only for a short time. If that happens, your doctor might consider a third non-insulin drug, or you may start insulin therapy.

Surgeries for type 2 diabetes

Weight loss surgery can effectively treat type 2 diabetes by helping you to lose weight. These procedures limit how much food you can eat or how many nutrients your body can take in. You'll need to commit to long-term healthy lifestyle changes to get full benefits of this type of surgery. 

Several types are available. Talk to your doctor about whether weight loss surgery is right for you. 

Alternative treatments for type 2 diabetes

There's not much scientific evidence that any alternative treatment can you help manage your blood sugar.  Research into dietary supplements has found that:

  • Chromium has little benefit and can be harmful in large doses.
  • Cinnamon might lower fasting blood sugar levels, but doesn't affect A1c. 
  • Magnesium has mixed results in studies, may cause side effects, and can be dangerous at large does. 

Some research has found that mind-body practices like yoga and meditation might help with blood sugar control when used along with diabetes drugs. That may be because of their stress-relief benefits.  

 Always talk to your doctor before trying any alternative treatment. These treatments can't take the place of diabetes medications. 

Type 2 Diabetes Health Disparities

Some populations are more likely to get type 2 diabetes. Latino (12%), Black (12%), and Asian (10%) people have higher rates of diabetes than white people (7%). American Indians get it at about twice the rate as white people (14.5%). Members of racial and ethnic minority groups with type 2 are also likely to have worse health outcomes.

Yet research shows that members of minority groups are less likely to use newer diabetes medications, regardless of their income or whether they have health insurance. And no matter what their ethnicity, people with lower incomes were less likely to take these medications. Across all races and ethnicities with diabetes, about 15% live in poverty, 19% have difficulties accessing food, and 51% have low-quality diets.

Also, Black, Latino, and Native American people are less likely to be included in clinical studies to try new diabetes drugs.

Type 2 Diabetes Complications

Over time, high blood sugar can damage and cause problems with your:

  • Heart and blood vessels. You’re up to twice as likely to get heart disease or have a stroke , and at a younger age. You’re also at high risk of blocked blood vessels (atherosclerosis) and chest pain (angina).
  • Kidneys. If your kidneys are damaged or you have kidney failure, you could need dialysis or a kidney replacement.
  • Eyes. High blood sugar can damage the tiny blood vessels in the backs of your eyes. If this isn’t treated, it can cause blindness.
  • Nerves. This can lead to trouble with digestion, the feeling in your feet, and your sexual response.
  • Skin. Your blood doesn’t circulate as well, so wounds heal slower and can become infected.
  • Pregnancy. Parents with diabetes are more likely to have a miscarriage, a stillbirth, or a baby with a birth defect.
  • Sleep. You might develop sleep apnea, a condition in which your breathing stops and starts while you sleep.
  • Hearing. You’re more likely to have hearing problems, but it’s not clear why.
  • Brain. High blood sugar can damage your brain and might put you at higher risk of Alzheimer’s disease.
  • Depression. People with the disease are twice as likely to get depressed as people who don’t have it.

The best way to avoid these complications is to manage your type 2 diabetes well.

  • Take your diabetes medications or insulin on time.
  • Check your blood sugar.
  • Eat right, and don't skip meals.
  • See your doctor regularly to check for early signs of trouble.

Living With Type 2 Diabetes

Managing diabetes is complicated. You'll need to adopt healthy lifestyle habits, check your blood sugar regularly, and keep up with doctor visits and treatments. But your efforts can have a big impact on your health and your quality of life.  

Type 2 diabetes diet

A dietitian can help you create a personalized meal plan that takes your needs and preferences into account. A healthy diabetes diet should focus on:

  • Limiting highly processed foods
  • Reducing added sugars and low-fiber refined grains like white bread
  • Boosting your intake of non-starchy vegetables like broccoli and green beans

Type 2 diabetes costs

On average, people diagnosed with diabetes spend about 2.3 times more on medical care than those who don't have the condition. Their medical expenses average about $16,750 a year, $9,600 of which is due directly to diabetes. 

These expenses include doctor visits, hospitalizations, and medication. You may have other costs as well, such as lost time and less productivity at work.

Managing type 2 diabetes

Managing your type 2 diabetes well helps you avoid complications and feel your best. Along with a healthy diet, regular exercise, and medication as prescribed:

  • Keep your blood pressure and cholesterol levels in the healthy range. High levels of either could raise your risk of diabetes complications.
  • Get regular eye exams, dentist visits, and physicals.
  • Check your feet daily for sores, redness, or swelling and let your doctor know if you notice any issues. 
  • Get at least 7 hours of good-quality sleep each night, as sleep loss interferes with blood sugar control. Ask your doctor for help if you have a hard time sleeping.
  • Be careful with alcohol. Limit alcoholic drinks to 1-2 drinks a day, depending on your size and gender. If you do drink alcohol, check your blood sugar afterward.   
  • Work with your doctor to come up with a sick day plan. Even a minor illness can interfere with your blood sugar and insulin levels. You may need to adjust your medications or check your blood sugar more often.

Type 2 diabetes and mental health

A long-term health condition can take a toll on your mental health. People with diabetes are more than twice as likely to have depression, and 20% more likely to have anxiety, than those without the condition. Many don't get diagnosed or treated, even though therapy, medication, or a combination can work very well.

Many people with diabetes sometimes get overwhelmed by the pressures of trying to manage the condition. This is called diabetes distress, and it can lead to you to neglect your health. A support group or counseling could help you overcome it. 

If you're worried about your emotional health, ask your doctor to recommend a mental health professional.

Type 2 Diabetes Prognosis

The long-term outlook for people with type 2 varies, depending on how effectively they manage the condition. At age 50, the average life expectancy (LE) for those with type 2 is 6 years shorter than those without the condition. But proper care and treatment can help you improve those odds. 

Can type 2 diabetes be cured?

There's no cure for type 2. You may be able to get your blood sugar under control by losing weight and making healthy lifestyle changes, and might even be able to stop taking diabetes medications. But this isn't the case for everyone. 

What to expect with type 2 diabetes

Type 2 is a serious condition that calls for a lifelong commitment to managing it. Over the long term, high blood sugar can lead to heart, vision, and kidney problems. But you can take steps to avoid these complications and extend your life. Several studies show that:

  • Reducing your A1c levels from 10% to under 8% can increase life expectancy by almost 3.5 years.
  • Quitting smoking can increase LE in women over 50 by almost a year, and by almost 2 years in men over 70.
  • Lowering LDL ("bad") cholesterol can improve LE by almost a year.

All these things also reduce your risk of developing other diseases.

 

Type 2 Diabetes Prevention

Adopting a healthy lifestyle can help you lower your risk of diabetes :

  • Lose weight. Dropping just 7% to 10% of your weight can cut your risk of type 2 diabetes in half.
  • Get active. 30 minutes of brisk walking a day will cut your risk by almost a third.
  • Eat right. Avoid highly processed carbs, sugary drinks, and trans and saturated fats. Limit red and processed meats.
  • Quit smoking. Work with your doctor to keep from gaining weight after you quit, so you don't create one problem by solving another.

Takeaways

Type 2 diabetes is a serious condition that requires lifelong management. Weight loss, a healthy lifestyle, and medications, if needed, can help you keep it under control. They can also help you live a longer, healthier life. 

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Have a great week, everyone, and thank you for your support!

Blessed be… and happy cooking!

                                                            Chef Michael R